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Updated: Aug 26, 2025

Mixed Reality Assisted Radical Endoscopic Thyroidectomy
Published on: January 31, 2025
[Principles of safe endoscopic surgery on the endocrine organs of the neck]
P S Glushkov1, R Kh Azimov1, K A Shemyatovsky1
1Central Clinical Hospital of the Russian Academy of Sciences, Moscow, Russia.
Objective:
To emphasize the main stages of safe endoscopic surgery on endocrine organs of the neck.
Material And Methods:
There were 79 patients with diseases of thyroid and parathyroid glands who underwent surgery between 2018 and 2021. Of these, 69 ones underwent transaxillary thyroidectomy, 10 patients underwent transaxillary parathyroidectomy.
Results:
At initial stage of development of this technique, we obtained 2 intraoperative and 2 postoperative complications. Adverse events were completely cured.
Conclusion:
Endoscopic procedures on the endocrine organs of the neck are a safe alternative to traditional approaches. There are certain advantages of this approach. Compliance with surgical technique and focusing on dangerous stages minimize the risk of complications.
Insights
Endoscopic neck endocrine surgery, including transaxillary thyroidectomy and parathyroidectomy, offers a safe alternative to traditional methods. Careful technique minimizes complication risks for patients.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Traditional open surgery for neck endocrine organs carries risks.
- Advancements in endoscopic techniques offer potential benefits.
Purpose of the Study:
- To outline the key stages for safe endoscopic surgery on neck endocrine glands.
- To evaluate the safety and efficacy of transaxillary endoscopic procedures.
Main Methods:
- Retrospective analysis of 79 patients undergoing endoscopic neck endocrine surgery (2018-2021).
- Procedures included transaxillary thyroidectomy (69 patients) and transaxillary parathyroidectomy (10 patients).
Main Results:
- Early in technique development, 2 intraoperative and 2 postoperative complications occurred.
- All adverse events were successfully treated, with no long-term sequelae.
Conclusions:
- Endoscopic surgery for neck endocrine organs is a safe alternative to open surgery.
- Adherence to surgical technique and attention to critical stages reduce complication risks.
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